Individual
DR. JENNIFER WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8302 OLD SAUK RD, MIDDLETON, WI 53562-4404
(608) 512-9346
Mailing address
9020 ANCIENT OAK LN, VERONA, WI 53593-8455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15102-40
WI
Other
Enumeration date
10/22/2011
Last updated
12/21/2022
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